Organization Active NPI

Lara Wittine, PLLC

  • Sleep Medicine (Internal Medicine) Physician
  • Tampa, FL
National Provider Identifier
1649881137
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
Legal business name
LARA WITTINE, PLLC
Practice address
13601 Bruce B Downs Blvd
Tampa, FL 33613-4657
Phone
(813) 615-7410
NPI assigned
Aug 10, 2020
Last updated
Aug 26, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Lara M Wittine, MD
Title
Principal
Phone
(619) 606-6025

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) Physician 207RS0012X NU Primary

Addresses

Primary practice location

13601 Bruce B Downs Blvd
Tampa, FL 33613-4657

Mailing address

3804 W Granada St
Tampa, FL 33629-6807
Phone (619) 606-6025

National Provider Directory

National Provider Directory

Locations

13601 Bruce B Downs Blvd
Ste 151
Tampa, FL 33613
Phone (813) 615-7410

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598400000000",
    "number": "1649881137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3804 W GRANADA ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336296807",
            "telephone_number": "619-606-6025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13601 BRUCE B DOWNS BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134657",
            "telephone_number": "813-615-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARA WITTINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-10",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A",
        "authorized_official_last_name": "WITTINE",
        "authorized_official_first_name": "LARA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "619-606-6025",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.